Our Services:
We treat the full range of allergic disease with a customized plan built around less long-term medication. We treat children and adults. No referral is required. Offices in Brighton, Perinton, and Canandaigua.
Nasal, sinus, and eye allergies.
Allergic triggers can be year round or worsen as the seasonal pollen comes back each year. Untreated allergies can mean more than sneezing and drip. They can add fatigue, snoring, poor concentration, and headache. Same day results.
Asthma.
Most asthma has allergy as a trigger and also a major cause of the underlying longstanding inflammation. Finding and treating the underlying cause can often lead to improved symptoms, less long term medication requirements, and improved quality of life. Advanced PulmOne lung function tests, spirometry, lung volumes, DLCO, and exhaled nitric oxide are done here, not at a hospital lab.
Chronic cough.
Including cough from asthma, post-nasal drainage, or an allergic trigger. Advanced breathing tests are part of the visit when they are needed.
MCAS & Mast Cell Activation Disorders.
Navigating the growing awareness of Mast cell activating syndrome and mast cell dysfunction, and the multitude of symptoms that often go undiagnosed. Multitude of cumulative triggers lead to an overwhelming chemical onslaught!
Hives and swelling.
Hives and angioedema, including cases that are not a simple allergy. Identifying cumulative triggers that cause or contribute to symptoms is essential. Treatment can include medicine or a biologic such as Xolair.
Anaphylaxis.
Evaluation after a serious allergic reaction to a food, drug, insect, or an unexplained episode, plus an action plan and epinephrine when that is appropriate.
Food allergy.
Same day testing. Oral food challenges when needed. Foods can also cause symptoms through non allergic mechanisms, such as oral allergy syndrome, contact, intolerances, or direct mast cell release. Offering Xolair for additional protection and safety from unexpected exposures
Eosinophilic esophagitis.
Trouble swallowing, food sticking, and reflux that does not act like ordinary heartburn. Testing for causative foods and swallowed pollen, coordinated with your gastroenterologist when endoscopy is needed.
Stinging-insect allergy.
Stinging insects can cause life threatening reactions that have a high risk of worsening with subsequent stings. Testing and venom shots can reduce risk of worsening reaction from 60% to 3%! Blood tests alone miss many of these.
Drug allergy.
Evaluation of penicillin, cephalosporin, and other drug reactions, including testing and oral challenges when it can be done safely.
Eczema (Atopic Dermatitis).
Advanced eczema care, focusing on underlying environmental and food triggers alongside modern targeted therapies.
Contact Dermatitis.
Specialized evaluation and patch testing when a chronic, mysterious rash or skin irritation may be from a chemical or material that directly touched the skin.
Sinusitis & Headaches.
Underlying allergic inflammation commonly contributes to both recurrent and chronic sinusitis as well as facial headaches. Headache and facial pressure may be sinus or allergy disease, including patients sent because the headache has not responded to usual care. Testing is used when history suggests a trigger, not as a workup for every headache.
Immune deficiency and recurrent infections.
Evaluation of immune deficiency when infections are unusually frequent or severe. Underlying allergic inflammation commonly also contributes.
How we treat:
Allergy Testing
The most comprehensive environmental panel in Rochester. Results before you leave
Patch testing.
For skin contact rashes. A different test from allergy skin testing.
Breathing tests.
Spirometry, TLC, DLCO, and NIOX—all done in the office.
Oral food challenge.
A supervised in-office feeding test when history and skin testing do not show whether a food is safe to eat.
Allergy shots.
Custom vials for environmental and venom allergy, given here or sent out once you are stable.
Biologic injections.
Xolair, Nucala, Fasenra, and Tezspire at all three offices, including Xolair for food allergy.
Infusion center.
Brighton suite. Orders from any physician, even those not based at AAIR. Typically less cost than a hospital center, no facility fee. (585) 672-0023
Pollen counts.
The only local pollen count, used by every Rochester TV station.